CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Garnet Health Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$709
about 2.0× the $356 Medicare rate · typically $453–$1,667
modeled estimate · not a bill or quote
What this hospital charges insurers
$832
Above the fair price
about $123 over the fair price · 2.3× Medicare
Medicare pays $356 Fair price $709 This hospital $832 Cash price $620 Hospital's list price $2,478

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $93 Priciest $832

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $709 (about 2.0× the $356 Medicare rate). Garnet Health Medical Center charges insurers about $832, or about $620 in cash — above the fair price. Located in Middletown, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $709. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $589 165%
Blue Cross Blue Shieldmajor $1,470 - $2,150 412%
Aetnamajor $435 - $832 122%
Fidelis Care $444 125%
Geisinger $1,089 306%
MagnaCare $624 - $998 175%
MVP Health Care $834 234%
WellCare $446 125%
+ 4 smaller / regional plans $762 - $1,154

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 707 East Main Street, Middletown, NY 10940
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals